O objetivo deste estudo foi de identificar a prevalência de complicações e infecções pós-operatórias tardias em cirurgias por vídeo. Metodologicamente, trata-se de um estudo transversal analítico, realizado em um centro de alta complexidade médica no norte do Rio Grande do Sul. Participaram do estudo os pacientes pós-operatório de cirurgias por vídeo nas áreas de gastrenterologia, ortopedia e nefrologia. Os resultados são advindos do acompanhamento de 452 cirurgias de ortopedia, 498 cirurgias gastrenterologias e 139 cirurgias nefrológicas. A infecção foi mais frequente foi na especialidade nefrológica. As complicações clínicas pós-operatórias comuns em 50% dos procedimentos nas três áreas foi a hipertermia, presença de seroma/secreção e o edema local. Conclui-se que o rastreamento das condições de saúde nos pós-operatórios, constitui-se em um instrumento indispensável para a qualificação da assistência.
To analyze the prevalence and characteristics of late postoperative complications of orthopedic surgeries by video arthroscopy. This was a descriptive cross-sectional study that evaluated, through its own instrument, local and systemic postoperative complications of patients undergoing orthopedic surgeries by video arthroscopy. The study included 270 patients, who were evaluated on days 30(without prosthesis) and 90(with prosthesis placement) of the postoperative period, by telephone service. The selection of participants occurred sequentially and population-based, within the data collection period, from February to July 2020, in a large hospital for medium and high complexity surgeries. Of the 270 procedures performed in the period, 4.4% (n = 12) presented late postoperative infection. The most frequent complications were erythema (83%), edema (75%) and secretion (67%) in the surgical wound. Most used antibiotic therapy (92%) and anti-inflammatory drugs (67%). Hospital readmission was not necessary concerning the complications. Only 50% required medical evaluation before the scheduled time. The need for practices that ensure the quality of perioperative care and improve the active search to assess surgical outcomes is reinforced.
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